| NPI | 1356784573 |
|---|---|
| Former Name | JENNIFER ELIZABETH LIGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD457969) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D97054) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2023-08-14 |